Treatment of bronchial foreign body aspiration with extracorporeal life support in a child: A case report and literature review

Deng, Li; Wang, Baichun; Wang, Yan; Xiao, Luo; Liu, Hongyu

doi:10.1016/j.ijporl.2017.01.011

Cited by 11 publications

(11 citation statements)

References 24 publications

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“…The current case and the case reported by Landy et al [ 10 ] experienced transient breathing difficulty upon foreign body aspiration. Deng et al [ 5 ] found that the patient had immediate marked decline in blood oxygen saturation and metabolic acidosis and hypoxemia. Therefore, prevention of development of severe complications caused by ball-shaped foreign bodies requires prompt diagnosis and retrieval.…”

Section: Discussionmentioning

confidence: 99%

“…One report described the retrieval of the foreign body by surgery in a child in a critical condition. [ 5 ] Their age ranged from 6 to 12 years. These children had varied manifestations.…”

Section: Case Reportmentioning

confidence: 99%

“…Removal of beads is challenging as beads are typically round or oval and slippery and in severe cases, extraction is undertaken of aspirated bead by open chest surgery under extracorporeal circulation. [ 5 ] In the present study, we describe a case of plastic bead aspiration in a young girl that was successfully managed by bead retrieval via a balloon-tipped catheter and also provide a relevant literature review.…”

Section: Introductionmentioning

confidence: 99%

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Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter

Wang

Zhang²,

Li³

et al. 2018

Medicine

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Rationale:Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retrieve.Patient concerns:An 8-year-old girl developed cough, transient throat wheezing, and intermittent cough after she accidentally inhaled a plastic bead 7 hours ago. Chest computed tomography scan revealed a round shadow 1.2 cm in diameter in the right main bronchus.Diagnoses:Foreign body in the right main bronchus.Interventions:Retrieval by balloon-tipped catheter via flexible bronchoscopy was undertaken.Outcomes:The bead was successfully retrieved and the child recovered uneventfully.Lessons:Foreign body aspiration in children constitutes a medical emergency in severe cases. Flexible bronchoscopy and balloon-tipped catheter retrieval can be used as an effective noninvasive treatment for aspiration of plastic beads.

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Section: Discussionmentioning

confidence: 99%

“…One report described the retrieval of the foreign body by surgery in a child in a critical condition. [ 5 ] Their age ranged from 6 to 12 years. These children had varied manifestations.…”

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter

Wang

Zhang²,

Li³

et al. 2018

Medicine

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“…In doubtful cases, flexible bronchoscopy can be used to exclude the presence of FB in the distal airways . A tracheotomy or open chest surgery may be required when conventional bronchoscopy fails to extract the FB or in resource‐limited settings where rigid bronchoscopy is not available. In this case, a long sharp chain was aspirated by a 1‐year‐old child and removed by bronchoscopy and tracheotomy jointly under general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Ren

Jian-min

Zhong

2019

Pediatric Investigation

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Introduction Pediatric tracheobronchial foreign body aspiration can be a life‐threatening emergency, especially in young children because of their decreased respiratory reserve and smaller‐diameter airways. Case presentation We herein present a case in which a 1‐year‐old female child aspirated a 9‐cm long metal chain into the lower trachea and right main bronchus. The chain was removed via low tracheotomy and rigid bronchoscopy under general anesthesia. An intravenous anesthetic alone with a muscle relaxant was used to ensure an immobile airway during surgery instead of the more commonly used inhalation anesthetics with spontaneous ventilation. Conclusion The case re‐affirms that the removal of some large and irregular airway foreign bodies is a challenging procedure that requires a proper anesthetic plan and coordination with surgeons.

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“…Sometimes a thoracotomy is required to remove the FB for some patients causing serious complications. [1,2] Taking different measures according to different cases may make the removal of FBs much easier and safer. This case report is the first to demonstrate that the combined application of bronchoscopy and gastroscopic biopsy forceps can remove some FBs which are difficult to be retrieved by using bronchoscopy alone.…”

Section: Introductionmentioning

confidence: 99%

Endobronchial foreign body removal using fiberoptic bronchoscope together with gastroscope biopsy forceps

Hao¹,

Tang

Ji³

et al. 2019

Medicine

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Rationale:There are many difficult cases in the clinic because of the diversity of foreign bodies. The removal of a syringe cap is not so easy because there is always no hole at the closed end.Patient concerns:A 54-year-old man suddenly developed dyspnea during his treatment in the hospital.Diagnoses:Foreign body in the left main bronchus.Interventions:The foreign body was removed using fiberoptic bronchoscope together with gastroscope biopsy forceps.Outcomes:A repeat CT showed well inflation of left lung.Lessons:The combined use of gastroscope biopsy forceps in trachea is more conducive to remove a foreign body similar to a syringe cap.

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Treatment of bronchial foreign body aspiration with extracorporeal life support in a child: A case report and literature review

Cited by 11 publications

References 24 publications

Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter

Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Endobronchial foreign body removal using fiberoptic bronchoscope together with gastroscope biopsy forceps

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